| NPI | 1538650387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 63061) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A192056) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2024-01-24 |